GUSTAVO MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135943

License Status

NOT RENEWED

Business

First Name

GUSTAVO

Last Name

MEDINA

Business Name

GUSTAVO MEDINA

Original Issue Date

04/18/2001

Effective Date

04/18/2001

Expiration Date

03/31/2002

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005